Individual provider · Type 1 NPI

Shautley Mariea Ray, LPN

Licensed Practical Nurse · St. Louis, MO

NPI number 1346584489 Active

Practice location

5471 Dr Martin Luther King Dr
St. Louis, MO 63112-4265

Call (314) 367-5820 Map

Fax (314) 367-6326

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2002013492 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1346584489

Shautley Mariea Ray, LPN's National Provider Identifier is 1346584489, issued on Nov 15, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2012.